Individual
PATRICK ALTON JUNEAU III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1103 KALISTE SALOOM RD, SUITE 206, LAFAYETTE, LA 70508-5783
(337) 267-1319
Mailing address
1103 KALISTE SALOOM RD, SUITE 206, LAFAYETTE, LA 70508-5783
(337) 267-1319
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
74438
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1929662
—
LA
Enumeration date
07/11/2006
Last updated
07/15/2015
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